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Knowledge Check

A healthcare professional reviewing patient information with a background of medical documents and a digital interface, emphasizing knowledge and accuracy.

Member Services Knowledge Check

Test your knowledge on crucial member services protocols with our engaging quiz! Perfect for professionals and anyone looking to understand better the nuances of healthcare administration.

Quiz highlights include:

10 carefully crafted questions
Categorized for easy understanding
Multiple choice and checkbox formats

10 Questions2 MinutesCreated by NavigatingHealth101

Select the correct EMME code for Consent Form

ME2798

ME0002

ME2327

ME2427

When Flex card is Expired it will show a Denial Code.... Type the correct code (no spaces)

If the member is in Iowa and requests a retroactive PCP change, is it possible?

Yes

Approval is required

PARE could include some of the following providers, check all that apply

Allergologist

Radiologist

Emergency Room

Podiatrist

Nurse Anesthetist

Behavioral Health handles the following

Alcoholism

Anger

Depression

SMI

What is considered a Medical Benefit for Vision

Diver's license exam

Cataract

Glaucoma

Myopia

Conjunctivitis

If rollover funds for HFC is requested due to a health matter, could we grant it?

Yes

Tier exceptions review requests are allowed during which stages?

Deductible

Initial

Coverage Gap

Catastrophic

When escalating to Phone a Friend, which hashtag should we use in our case?

#PPF

#CRU

#PAF

In RxNova, the error "Submit Claim to Primary Payer" shows as:

092

080

090

060

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